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Organization

DEBRA L OPPENHEIM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA L OPPENHEIM (OWNER)
(818) 990-5157
Entity
Organization

Contact information

Practice address
16055 VENTURA BLVD STE 905, ENCINO, CA 91436-2611
(818) 990-5157
(818) 990-4540
Mailing address
16055 VENTURA BLVD STE 905, ENCINO, CA 91436-2611
(818) 990-5157
(818) 990-4540

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004335620
AETNA
01
200005186106
CIGNA
01
P10005504812
HEALTH NET
Enumeration date
02/11/2020
Last updated
02/11/2020
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